NPI | 1033978853 |
---|---|
Former Legal Business Name | THE EXECUTIVE NETWORK |
Entity Type | Organization |
Authorized Contact | DEREK KUYKENDALL Executive Director 303-860-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-03-14 |
Last Update Date | 2024-03-14 |